Nikka
Healthcare Compliance, Appeals & Escalation Specialist
With Timeproof
Overview
Looking for part-time work (5 hours/day)
at $4.97/hour ($600.00/month)
Bachelors degree
Last Active
July 3rd, 2026 (6 days ago)
Member Since
October 25th, 2024
Profile Description
Results-driven and compassionate healthcare insurance professional with extensive experience in appeals and grievance operations. Proven track record in resolving complex claims, coverage, and benefit disputes while improving customer satisfaction and driving process improvements. Highly skilled in conflict de-escalation, investigation, negotiation, and delivering empathetic member support.
Experienced team leader with a strong ability to coach, train, and guide high-performing teams to deliver exceptional service and accurate issue resolution. Adept at process analysis, identifying improvement opportunities, and implementing solutions that enhance efficiency and operational performance. Recognized for clear written and verbal communication, the ability to simplify complex concepts, and a commitment to best practices, innovation, and continuous improvement while fostering an inclusive and collaborative workplace culture.
Top Skills
Customer Support » Healthcare
Experience: 2 - 5 years
Customer Support » Insurance » Medical Insurance
Experience: 2 - 5 years
Customer Support » Insurance » Insurance Verification
Experience: 2 - 5 years
Other Skills
Office and Administration » Microsoft Word
Experience: 5 - 10 years
Office and Administration » Calendar Management » Scheduling
Experience: 2 - 5 years
Office and Administration » Microsoft 365 » SharePoint
Experience: 2 - 5 years
Professional Services » Medical Services » HIPAA Compliance
Experience: 2 - 5 years
Marketing » Telemarketing » Inbound Sales
Experience: 6 months - 1 year
Customer Support » Insurance » Prior Authorization
Experience: 2 - 5 years
Customer Support » Healthcare » Electronic Health Record
Experience: 2 - 5 years
Human Resources » Staffing
Experience: Less than 6 months
Basic Information
- Age
- 27
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Baliuag, Bulacan
- Tests Taken
- IQ
- Score: 96
- DISC
- Dominance: 23%
- Influence: 18%
- Steadiness: 36%
- Compliance: 23%
- English
- C1(Advanced)
- Government ID
- Sign Up with Pro Account to View
“It definitely helped transform my business and take a significant load off for me.”
Samori Coles
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